Individual
LISA R LAFATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 NC HIGHWAY 55 W, MOUNT OLIVE, NC 28365-8527
(919) 658-5900
(910) 267-8981
Mailing address
1011 ROCK QUARRY RD, RALEIGH, NC 27610-3825
(919) 658-5900
(910) 267-8981
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007011
NC
Other
Enumeration date
07/21/2014
Last updated
03/19/2025
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